Provider Demographics
NPI:1841175734
Name:THOMPSON-GARDNER, ASHLEY PARKER
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:PARKER
Last Name:THOMPSON-GARDNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 DRURY LN
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-8226
Mailing Address - Country:US
Mailing Address - Phone:318-550-7048
Mailing Address - Fax:
Practice Address - Street 1:410 SIBLEY ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:LA
Practice Address - Zip Code:71006-8301
Practice Address - Country:US
Practice Address - Phone:318-549-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9827235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist